Individual provider Active NPI

Meghan F Nakamura, PA

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1821177007
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2327 Issued in CO
Practice address
2535 S Downing St
Denver, CO 80210-5847
Phone
(720) 524-1367
Fax
(303) 778-5205
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2327 CO Primary

Addresses

Primary practice location

2535 S Downing St
Denver, CO 80210-5847

Mailing address

3333 S Wadsworth Blvd Unit D100
Lakewood, CO 80227-5117
Phone (303) 205-1090

Other practice location 1

1001 Southpark Dr
Littleton, CO 80120-5641
Phone (303) 722-8987

Other identifiers 1

IdentifierTypeStateIssuer
01870343MedicaidCO

Other names 1

  • Meghan F Clements Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000222 CO Practitioner - Physician Assistant 1052311859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2327COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Mar 22, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 22, 2021 Accepting new patients
West Two Medical Group, PLLC Past Accepting new patients

Locations

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1821177007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD UNIT D100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275117",
            "telephone_number": "303-205-1090",
            "fax_number": "303-205-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105847",
            "telephone_number": "720-524-1367",
            "fax_number": "303-778-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Southpark Dr",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801205641",
            "country_code": "US",
            "telephone_number": "303-722-8987",
            "fax_number": "303-722-2935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "MEGHAN",
        "middle_name": "F",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01870343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "CLEMENTS",
            "middle_name": "F",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.